Active NPI
Richard D. Tallman, MD
- Neurology Physician
- Austin, TX
National Provider Identifier
1033175799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G6881
- Practice address
- 12221 N Mopac Expy
Austin, TX 78758-2401 - Phone
- (512) 901-4011
- Fax
- (512) 901-3911
- NPI assigned
- Apr 21, 2006
- Last updated
- Jan 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G6881 | TX | Primary |
Addresses
Primary practice location
12221 N Mopac Expy
Austin, TX 78758-2401
Mailing address
12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-4011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128665002 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RICHARD.TALLMAN@hca8.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G6881 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Seton | Past | Accepting new patients | |
| Austin Diagnostic Clinic, PA | Past | Accepting new patients |
Interoperability endpoints
- 11224-tallman-richard@direct.leadingreach.com
- richard.tallman@hca8.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SEBD Professional Support Services
- Family Medicine Physician
- Luling, TX
- NPI 1215118609
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1619923950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1033175799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 N MOPAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582401",
"telephone_number": "512-901-4011",
"fax_number": "512-901-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 N MOPAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582401",
"telephone_number": "512-901-4011",
"fax_number": "512-901-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLMAN",
"first_name": "RICHARD",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "G6881",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128665002",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RICHARD.TALLMAN@hca8.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "12221 N Mopac Expy",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787582401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.